Organization Active NPI

Rosen-Hoffberg Rehabilitation and Pain Management Associates, P.a

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1023499894
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSEN-HOFFBERG REHABILITATION AND PAIN MANAGEMENT ASSOCIATES, P.A
Practice address
8415 Bellona LN
Suite 201
Baltimore, MD 21204-2055
Phone
(410) 821-7775
Fax
(410) 821-1320
NPI assigned
Jun 17, 2015
Organization subpart
Yes
Parent organization
ROSEN-HOFFBERG REHABILITATION AND PAIN MANAGEMENT ASSOCIATES, P.AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Pasqua
Title
Office Manager
Phone
(410) 821-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8415 Bellona LN
Suite 201
Baltimore, MD 21204-2055

Mailing address

8415 Bellona LN
Suite 201
Baltimore, MD 21204-2055
Phone (410) 821-7775

Other identifiers 1

IdentifierTypeStateIssuer
407861600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Rosen-Hoffberg Rehabilitation Pain Management9 organizations share this tax ID, including this one
Part of
Rosen-Hoffberg Rehabilitation Pain Management

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1023499894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042055",
            "telephone_number": "410-821-7775",
            "fax_number": "410-821-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042055",
            "telephone_number": "410-821-7775",
            "fax_number": "410-821-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEN-HOFFBERG REHABILITATION AND PAIN MANAGEMENT ASSOCIATES, P.A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEN-HOFFBERG REHABILITATION AND PAIN MANAGEMENT ASSOCIATES, P.A",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PASQUA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-821-7775"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407861600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.